Organization Active NPI

Elizabeth Lawson LCSW PLLC

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1851170401
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELIZABETH LAWSON LCSW PLLC
Practice address
4320 Spring Creek Rd Ste 16
Rockford, IL 61107-1157
Phone
(815) 978-7705
Fax
(815) 345-3624
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth A Lawson, LCSWNPI 1912385568
Title
Owner
Phone
(815) 978-7705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4320 Spring Creek Rd Ste 16
Rockford, IL 61107-1157

Mailing address

4320 Spring Creek Rd Ste 16
Rockford, IL 61107-1157
Phone (815) 978-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115000058 IL Part B Supplier - Clinic/Group Practice 8325572142 Receives reassigned benefits from 3 practitioners
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory

Locations

4320 Spring Creek Rd
Ste 16
Rockford, IL 61107
Phone (815) 978-7705

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1851170401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 SPRING CREEK RD STE 16",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071157",
            "telephone_number": "815-978-7705",
            "fax_number": "815-345-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SPRING CREEK RD STE 16",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071157",
            "telephone_number": "815-978-7705",
            "fax_number": "815-345-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LAWSON LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-978-7705",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.